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Current Pharmaceutical Design

Editor-in-Chief

ISSN (Print): 1381-6128
ISSN (Online): 1873-4286

The Oxidative Stress Menace to Coronary Vasculature: Any Place for Antioxidants?

Author(s): Alexandros Briasoulis, Dimitris Tousoulis, Charalambos Antoniades and Christodoulos Stefanadis

Volume 15, Issue 26, 2009

Page: [3078 - 3090] Pages: 13

DOI: 10.2174/138161209789058057

Price: $65

Abstract

Oxidative stress is involved in the pathogenesis of atherosclerosis. A variety of antioxidants has been used in clinical studies, during the past few years, for the prevention and treatment of atherosclerosis. In small clinical studies it was found that both vitamins C and E may improve endothelial function in high risk patients. However, interventional trials have been controversial, with some positive findings, many null findings, and some suggestion of harm in certain high-risk populations. Therefore, treatment with antioxidant vitamins C and E should not be recommended for the prevention or treatment of coronary atherosclerosis. New antioxidant strategies are needed to clarify the exact role of antioxidant treatment in coronary atherosclerosis.

Keywords: Antioxidants, coronary artery disease, nitric oxide, endothelium

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